MEDICARE: CEIBA COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1518883560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEIBA COUNSELING PLLC

Provider Business Mailing Address
First Line	:	7525 MITCHELL RD STE 315
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-1958
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7525 MITCHELL RD STE 315
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-1958
Country	:	US
Telephone Number	:	612-440-7429
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRENNA MUNOZ
Credential	:	LICSW, LADC
Telephone Number	:	612-440-7429

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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